Providers

Healthy U Medicaid

• A Medicaid Accountable Care Organization (ACO) plan and network available to eligible Medicaid members all over Utah.

Healthy U CHIP

• A statewide provider network, effective July 1, 2024, to support the Children's Health Insurance Program, a state-sponsored physical and behavioral health insurance plan for children who do not have other insurance.
  The Healthy U CHIP Provider Manual is available for download. 
  
  Healthy U CHIP Provider Manual

Healthy U Behavioral

• Healthy U Behavioral exists for ANY Medicaid-eligible Summit County resident, regardless of their medical coverage.

Healthy Preferred

• A commercial narrow network along the Wasatch Front available to employer groups.

Healthy Premier

• A commercial network available for members who need statewide access in Utah and surrounding areas for their employees.

U Health Plus

• A narrow network featuring University of Utah Health Hospitals and Clinics, and supplemented with strategic partners to ensure members have adequate access to services. Only Health Insurance Marketplace® Individual/Family members within the targeted footprint in Salt Lake County are eligible to use the U Health Plus network.

University of Utah Health Plans has developed COVID-19 Provider Information to keep you up-to-date with the latest operational and benefit updates as they apply to the virus. Visit the site often to stay current with the latest information. Please share this link with others in your office who may rely on the information.

Our Provider Connection newsletter is also available online. If you haven’t already, please subscribe—via the link at the bottom of the page—to receive notice when new editions are available. Encourage others in your office to subscribe to receive notice, as well. From clinical to administrative, there’s something for everyone.

Information on COVID-19 coverage for the uninsured.

• COVID-19 Testing Coverage for the Uninsured
• COVID-19 Uninsured Options

Like you, U of U Health Plans is diligently working to ensure the health and safety of our members as we all navigate through the Coronavirus (COVID-19) pandemic. Our foremost priority is, as always, the health and well-being of our members, providers, and communities. Our hearts go out to all people in the US and worldwide who are suffering directly from COVID-19, or indirectly by the measures that have been taken to contain its spread.

This interim COVID-19 bulletin includes information about benefit and operational decisions that have temporarily been updated in support of COVID-19 testing and treatment. We highly encourage the use of telemedicine services and virtual visits to help avoid the further spread of the virus. We will continue to review, monitor, and enhance this information to keep you informed about this changeable environment. Additional updates will be posted as they become available.

We’ll also notify you of updates regarding this and other U of U Health Plans information through our provider newsletter, Provider Connection. Accessing the newsletter online makes it easier to share with everyone in your office. To ensure you receive the latest newsletter as soon as it’s available, subscribe to our email list at the bottom of the newsletter web page. We promise we won’t spam you, and we’ll never share your information.

Visit Covid-19 section

PHE Unwinding Information and tools from Utah Medicaid

REMIND MEDICAID MEMBERS TO UPDATE STATE CONTACT INFORMATION
– At the beginning of the COVID-19 pandemic, the federal government issued a Public Health Emergency (PHE) allowing for continuous coverage of Medicaid without requiring beneficiaries to complete an annual review. The PHE may end later this year, which means Medicaid needs current beneficiary information on file to resume the annual reviews. We need help making sure eligible beneficiaries do not lose their Medicaid coverage when the PHE ends.

WHY IT MATTERS
– Uninsured people are markedly less likely than Medicaid beneficiaries to get care, and significantly more likely to delay or go without needed care, according to data from the Kaiser Family Foundation. Reminding patients to update their contact info with Medicaid helps ensure these patients have continuity of care. It’s a chance to show concern and empathy for the patient and to build the doctor/patient relationship.
Additionally, payment for services provided to Medicaid beneficiaries is sent directly to provider offices. If a Medicaid member’s eligibility is not renewed, you may no longer see that patient or be faced with trying to recoup payment for their uninsured services.

HOW YOU CAN HELP
– Providers and frontline staff can encourage all Medicaid patients to update their contact information with the Department of Workforce Services (DWS), especially if the patient has moved within the last two years. This ensures that DWS can contact them when it’s time to complete their review. To update their contact info, Medicaid patients can call DWS at 866-608-9422 or visit jobs.utah.gov/mycase.